Mr Anthony Lance Johnson, PA-C in Lake Oswego, OR

Mr Anthony Lance Johnson, PA-C is a medicare enrolled "Physician Assistant" in Lake Oswego, Oregon. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Summit Orthopaedics, Llp and his current practice location is 4103 Mercantile Dr, Lake Oswego, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 850-9940.

Mr Anthony Lance Johnson is licensed to practice in Oregon (license number PA208077) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174136725.

Contact Information

	Mr Anthony Lance Johnson, PA-C
	4103 Mercantile Dr, Lake Oswego, OR 97035-2556
	(503) 850-9940
	(503) 850-6709

Map and Direction

Provider's Profile

Full Name	Mr Anthony Lance Johnson
Gender	Male
Speciality	Physician Assistant
Experience	3 Years
Location	4103 Mercantile Dr, Lake Oswego, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Anthony Lance Johnson graduated from nursing school in 2021

NPI Data:

NPI Number: 1174136725
Provider Enumeration Date: 08/24/2020
Last Update Date: 02/08/2022

Medicare PECOS Information:

PECOS PAC ID: 6204229255
Enrollment ID: I20220215001614

Medical Identifiers

Medical identifiers for Mr Anthony Lance Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174136725	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
363A00000X	Physician Assistant	PA208077 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Legacy Emanuel Medical Center	Portland, OR	Hospital
Legacy Meridian Park Medical Center	Tualatin, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Summit Orthopaedics, Llp	4789725607	11

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Anthony Lance Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Anthony Lance Johnson, PA-C 4103 Mercantile Dr, Lake Oswego, OR 97035-2556 Ph: (503) 850-9940	Mr Anthony Lance Johnson, PA-C 4103 Mercantile Dr, Lake Oswego, OR 97035-2556 Ph: (503) 850-9940

Reviews and Comments

Physician Assistant Nurses in Lake Oswego, OR

Amanda Leigh Barclay, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 17550 Provost St Ste 201, Lake Oswego, OR 97034 Phone: 503-872-2440
Ms. Julie Lyn Cramer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035 Phone: 541-969-7466 Fax: 855-529-7962
Ms. Stacy R. Hampton, PHARM.D., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 16869 65th Ave # 287, Lake Oswego, OR 97035 Phone: 541-808-1093 Fax: 541-738-2106
Megan Elaine Hunt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4103 Mercantile Dr, Lake Oswego, OR 97035 Phone: 503-850-9940 Fax: 503-850-6709
Colin Zelimir Barich, Physician Assistant Medicare: Medicare Enrolled Practice Location: 4103 Mercantile Dr Ste B, Lake Oswego, OR 97035 Phone: 503-850-9940
James Herbert Moorman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4000 Carman Dr, Unit 41, Lake Oswego, OR 97035 Phone: 503-473-6345

Mr Anthony Lance Johnson, PA-C - Medicare Physician Assistant in Lake Oswego, OR